In his thoughtful article “Taking a New Look at MaineCare” in this issue of Maine Policy Review, Paul Saucier reviews the current status of Maine Medicaid (MaineCare) and some questions that must be answered in order to clarify MaineCare’s role in any effort to provide all Mainers with health insurance. One question he does not ask, however, is how the difficult relationship between MaineCare and the health care provider community—hospitals, physicians, and other providers who are paid by MaineCare for services provided to its members—affects policy discussions about MaineCare. The expansion of MaineCare to help to achieve universal insurance in Maine probably cannot be successful without addressing that issue.